The practice of female genital mutilation (FGM), in one form or another continues to exist inrnaround 40 countries of the world. It is associated with different kinds of health problems whichrnmanifest immediately or long after the wound has healed. Health hazards during delivery arernamong the long term complications of FGM. With the objectives of assessing and comparing therndifferential occurrence of birth complications among the different types of female genitalrnmutilation, a cross-sectional study using questionnaire was conducted on December 2001 inrnJijiga town among 913 women of reproductive age who had their first birth during the last fivernyears.rnThe proportion of women who were genitally mutilated was 96% with 52% of them undergonernthe most severe type of FGM â€“ infibulation. The rest 48% of women had undergone either FGMrnType I or Type II; i.e., they were genitally mutilated but not infibulated. Episiotomies occurredrnamong 61% of women who were delivering for the first time and 28.1% of women delivering forrnthe second time. The rates of instrumental and cesarean deliveries among the first-time deliveriesrnwere 6.6% and 3.1%, respectively; while they were 3.2% and 1.3% among the second-timerndeliveries, respectively. Among primi-parous women 36.2% reported having had complicatedrnpostnatal period; 22.5%, prolonged labour; 10.3%, perineal tear and 9.8%, heavy bleeding.rnInternal comparison between infibulated and non-infibulated women had shown that there was arnsignificant difference in the occurrence of hemorrhage and postnatal problems. It was concludedrnthat female genital mutilation in general and infibulation in particular were risk factors for thernoccurrence of birth complications. Collaborative educational interventions were recommended